CapMac Membership Form

The following online form may be used by U.S.-based individuals who wish to become CapMac members.

If you are NOT a U.S.-based individual, or wish to complete your application offline, you can download a PDF version of our form and bring it with you to our next meeting or send it by postal mail along with payment.

Your Name *

Your Name

First Name

Last Name

Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Email Address *

Preferred Phone Number (with area code) *

Preferred Phone Number (with area code)

(###)

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Referred By

Requested Membership Type *

Regular/Standard ($36 per year)

Student/Educator ($24 per year)

Fee Waiver ($0 for six months)

Requested Payment Type *

Secure Online Payment (Credit Card via Square)

In Person At Meeting (Credit Card, Cash, Check)

By Mail (Check)

Home Phone

Home Phone

(###)

###

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Thank you! We think it’s awesome you wish to join us.

Please complete your application by processing dues payment using one of the following methods: